Provider / Organization | NPI | Date Certified |
---|---|---|
KRIS ADISESH KARIBANDI | 1912574237 | 2021-06-06 |
Kris Adisesh Karibandi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912574237. Registration indicates Kris Adisesh Karibandi is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Kris Adisesh Karibandi |
Practice Office Address | 5645 MAIN ST FLUSHING, NY US |
Practice Office Telephone | 6316721306 |
Mailing Address | 3 SUPREME CT SMITHTOWN, NY 117874316 US |
Business Telephone | 6316721306 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
193400000X SING | Group Code |